| Soo Yoon Kim, MD | |
|
3401 N Broad St, Philadelphia, PA 19140-5103 | |
| (215) 707-7725 | |
| (215) 707-3945 |
| Full Name | Soo Yoon Kim |
|---|---|
| Gender | Female |
| Speciality | Colorectal Surgery (proctology) |
| Experience | 28 Years |
| Location | 3401 N Broad St, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184613838 | NPI | - | NPPES |
| 0019708640001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208600000X | Surgery | MD069981L (Pennsylvania) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Abington Memorial Hospital | Abington, PA | Hospital |
| Holy Redeemer Hospital And Medical Center | Meadowbrook, PA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Colon And Rectal Associates, Ltd | 3173506839 | 6 |
| Entity Name | Colon And Rectal Associates, Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639124720 PECOS PAC ID: 3173506839 Enrollment ID: O20040611001333 |
| Mailing Address | Practice Location Address |
|---|---|
| Soo Yoon Kim, MD 1235 Old York Rd, Ste G20, Abington, PA 19001-3839 Ph: (215) 517-1250 | Soo Yoon Kim, MD 3401 N Broad St, Philadelphia, PA 19140-5103 Ph: (215) 707-7725 |
Elizabeth Diane Dauer, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-707-3133 Fax: 215-707-2915 | |
Dr. Susete Carneiro, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 201-317-3485 | |
Dr. Cassandra Alys Ligh, MD Surgery Medicare: Medicare Enrolled Practice Location: 3401 Civic Center Blvd, Philadelphia, PA 19104 Phone: 215-590-2208 Fax: 267-425-9552 | |
Victor Kim, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 3900 Woodland Ave, Philadelphia, PA 19104 Phone: 215-823-5800 | |
James Sun, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 333 Cottman Ave, Philadelphia, PA 19111 Phone: 215-854-9799 | |
Simran Kripalani, MD Surgery Medicare: Medicare Enrolled Practice Location: 3401 N Broad St, Philadelphia, PA 19140 Phone: 215-717-2000 | |
Adrian W Ong, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 3400 Spruce Street, 2 Dulles, Philadelphia, PA 19104 Phone: 215-662-7320 Fax: 412-359-8639 |